Individual provider Active NPI

Robert Carlton Palmer, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1043639800
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
ME157355 Issued in FL
Practice address
15821 Hollyfern CT # 3732
Fort Myers, FL 33908-3732
Phone
(239) 432-5100
Fax
(863) 336-0017
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 344297 LA
Pediatric Orthopaedic Surgery Physician 207XP3100X S1211 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X ME157355 FL Primary
Pediatric Orthopaedic Surgery Physician 207XP3100X 202002534 NC

Addresses

Primary practice location

15821 Hollyfern CT # 3732
Fort Myers, FL 33908-3732

Mailing address

341 Turnbury Way
Naples, FL 34110-1452
Phone (863) 443-0854

Other practice location 1

3361 Pine Ridge Rd Ste 202
Naples, FL 34109-3938
Phone (239) 432-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016000027 NC Practitioner - Orthopedic Surgery 4981823770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME157355FLMDPediatric Orthopaedic Surgery Physician
344297LAMDPediatric Orthopaedic Surgery Physician
202002534NCMDPediatric Orthopaedic Surgery Physician
S1211TXMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Oct 26, 2020 Accepting new patients
Pediatric Orthopedics of Southwest FL Pediatric Orthopaedic Surgery Current Accepting new patients

Locations

15821 Hollyfern Ct
Fort Myers, FL 33908
Phone (239) 432-5100

15821 Hollyfern Ct
#3732
Fort Myers, FL 33908
Phone (239) 432-5100

3361 Pine Ridge Rd
Ste 200
Naples, FL 34109

3361 Pine Ridge Rd
Ste 202
Naples, FL 34109
Phone (239) 432-5100

503 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 816-0600

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1043639800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 TURNBURY WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101452",
            "telephone_number": "863-443-0854",
            "fax_number": "863-336-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 HOLLYFERN CT # 3732",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083732",
            "telephone_number": "239-432-5100",
            "fax_number": "863-336-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3361 Pine Ridge Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341093938",
            "country_code": "US",
            "telephone_number": "239-432-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ROBERT",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "LA",
            "license": "344297",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "S1211",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME157355",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NC",
            "license": "202002534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.